Jobs
>
Plano

    Referral Management Coordinator - Plano, United States - Concentra Career Choice

    Show more Collapse job
    Default job background
    Description

    Overview:

    Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process.

    Do you want to use your problem solving skills and knowledge of customer service to help improve the health of America's workforce? At Concentra, we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. We do this by putting all customers first.

    Responsibilities:

    Position Summary

    The Referral Management Coordinator maintains high standards for quality and an exceptional patient experience in accordance with Concentras policies, procedures and applicable regulations. The Referral Management Coordinator processes referrals requests and authorizations while working closely with physicians, employers and payors. Customer services is a top priority in order to achieve a positive impact on the cost and quality of care rendered to injured employees.

    The Details

    • First point of escalation for all case related issues requiring guidance
    • Responsible for daily completion of assigned patient referrals, while meeting production requirements
    • Reviews, processes and supports Specialist referral requests by Concentra sites as defined by the market
    • Obtains authorization for Specialist referrals and schedules appointments accordingly
    • Ensures that appropriate networks and Concentra Advanced Specialists are used when applicable
    • Provides all necessary information such as medical records, prescriptions, etc. to payor
    • Communicates with stakeholders, payor, employer, and patient as appropriate
    • Records all appropriate information via OA/CR module of OccuSource per Concentra policy
    • Builds relationships with provider, employer and payor communities
    • Identifies trends or patterns in missed capture and opportunities to gain capture; communicates these ideas and trends to Lead and Supervisor
    • Handles calls according to the call guidelines of the department
    • Participates in quality assurance processes including but not limited to the audit program, case reviews and training sessions
    • This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
    Qualifications:

    Education/Credentials

    • High school diploma or GED equivalent
    • Associated Degree from an accredited college preferred

    Job-Related Experience

    • Customarily at least one year of demonstrated experience in medical environment - service delivery (referrals, claims, insurance, billing, etc.)
    • Experience with Worker's Compensation preferred
    • Proficiency with scheduling/insurance verification software

    Job-Related Skills/Competencies

    • Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
    • The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
    • Familiarity with Microsoft Excel, Outlook, Word
    • Excellent communication skills and ability to communicate (both written and orally) effectively with colleagues at all levels of the organization
    • Must display proper business etiquette and be skilled in the arts of diplomacy and tact
    • Excellent time management skills including the ability to multitask and prioritize in a fast-paced environment
    • Ability to build and maintain productive business relationships
    • Exemplary ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
    • Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
    • Excellent writing and documentation skills
    • Strong attention to detail
    • Ability to work independently
    • Ability to handle special projects
    • Ability to handle multiple tasks, projects, duties, and priorities, when assigned

    We have other current jobs related to this field that you can find below


  • Public Storage Plano, United States

    Job Description · Job DescriptionCompany Description · Public Storage is recognized as one of America's Best Large Employers in 2022 by Forbes and our employees have also voted us as a Great Place to Work, having Best Career Growth, ranked us in the Top 5% for Work Culture, and i ...


  • Medical City Plano Plano, United States

    Description · Introduction · Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Facilities Management Coordinator opening with Medical City Plano today and find out what it truly means to be a part of the HCA Healthcare ...


  • Vibra Healthcare Richardson, United States

    Overview: · COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE · We are seeking a Materials Management Coordinator to join our team · Responsibilities: · Responsible for organizing and managing the day-to-day Materials Management needs and operations for the facility. Researches pu ...


  • TLC Dentistry PLLC Plano, United States

    Job Description · Job DescriptionSeeking Dental Assistant in Plano/Frisco Area Great Opportunity, Benefits & Bonuses · We are a well established, private owned dental office in Plano/Frisco area that provides high quality dental care. Our practice seeking for a good team player, ...


  • US Oncology Richardson, United States

    Overview · The US Oncology Network is looking for a Credentialing and Managed Care Coordinator to join our team at Texas Oncology This position will support our Richardson Central Business Office at 3001 East President George Bush Highway. · As a part of The US Oncology Network, ...


  • Radiant Innovations Plano, United States

    The German Railway is not only one of the most important mobility service providers, but also one of the largest engineering firms in Germany. Currently, more than engineers work for us to realize and sustainably maintain new bridges, tunnels, train stations, tracks, and signal s ...


  • Clinitiative Health Research Dallas, United States

    Clinitiative Health Research is a pioneering force in the clinical trial industry. Based in the United States with a global reach, we are at the forefront of connecting top-tier pharmaceutical companies and Clinical Research Organizations (CROs) with the most distinguished princi ...


  • H Mart Carrollton, United States

    Responsibilities but not limited to:Provide daily help desk oversight to ensure help desk tickets are promptly assigned, work scheduled, and completed · Monitor ticket progress to ensure tasks are completed within expected time-frames · Purchase Parts and Equipment · Correspon ...


  • H Mart Carrollton, United States

    Responsibilities but not limited to:Provide daily help desk oversight to ensure help desk tickets are promptly assigned, work scheduled, and completed · Monitor ticket progress to ensure tasks are completed within expected time-frames · Purchase Parts and Equipment · Correspon ...


  • SPECTRAFORCE Dallas, United States

    Job Title: Managed Care Coordinator II · Location: Columbia, SC Onsite training then remote) (Must be located at SC) · Duration: 4 months assignment with possible conversion · Pay rate: $34/hr · Responsibilities: · Evaluate medical eligibility for benefits and clinical criteria, ...


  • BGE, Inc. Frisco, United States Full time

    BGE is looking to hire a TXDOT Utility Coordination Project Manager ( for our Transportation systems dept. · BGE, Inc. is a nationwide consulting firm that provides services in civil engineering, planning, landscape architecture, construction management, survey, and environmental ...


  • My Flooring Texas, LLC Dallas, United States

    Job Description · Job Description · Summary · We believe people are our most important asset. We want people on our team who want to be a positive contributor to the overall success of the team. At MFA, you will get the tools and training you need to succeed, and we are proud to ...


  • TechStar Group Plano, United States

    Position: Executive Administrative Assistant · Location: Plano, TX · Duration: 10 Months · What you'll be doing · Support C-level/Executive teams with travel arrangements, expense reports, additional reports/proposals/presentations, etc. · Provide support to the Executives to ens ...


  • InsideHigherEd Plano, United States

    The Senior Director of Workday Support and Operations will spearhead a team dedicated to overseeing and optimizing the Workday Financial, HCM, and Payroll ERP system. The Senior Director will function as the primary "owner" of Workday-related services at the University. This will ...


  • Dexian - Signature Consultants Plano, United States

    Job Summary: · Dexian is seeking a Project Coordinator/Change Coordinator for an opportunity with a client located in Plano, TX. · Responsibilities: · Responsible for planning, coordinating, and delivery of defined deliverables which usually requires engagement from multiple team ...

  • Foundation For CHOICE

    Program Coordinator

    4 weeks ago


    Foundation For CHOICE Plano, United States

    Company Description · Foundation For C.H.O.I.C.E. (Consider How One Individual Changes Everything) is a non-profit organization located in Plano, TX. By serving at-risk youth through a one-to-one mentoring program, Foundation For C.H.O.I.C.E. creates opportunities for a college e ...


  • Activ8 Recruitment & Solutions Plano, United States

    Responsibilities of International Logistics Coordinator: · Shipment Coordination: Coordinate international shipments, including booking cargo space, arranging transportation, and monitoring the progress of shipments. · Customs Compliance: Ensure compliance with customs regulation ...


  • Freeman+Leonard Plano, United States

    Freeman+Leonard is seeking a Brand Marketing Coordinator to drive brand awareness, customer engagement, and sales growth. This position requires occasional travel for new store openings and offers an exciting opportunity for someone passionate about the hospitality industry. Fran ...

  • Acro Service Corp

    ITSM Manager

    2 days ago


    Acro Service Corp Plano, United States

    Job Description: · Work to ensure our ITSM practices around key areas such as Incident, Problem, Change, and Release Management are consistently being followed and processes run smoothly and effectively. · Work to further develop, modify, and optimize our existing Service Managem ...

  • Exyte

    Technician, BIM/VDC

    1 week ago


    Exyte Plano, United States

    Your vision is ambitious. Just like ours. · Our people are our success. As one of us, you will contribute to engineering excellence for the high-tech markets of the future, including semiconductors, batteries, pharmaceuticals, biotechnology, and data centers. At Exyte, you will ...